| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0425 |
Ground mileage, per statute mile |
113,700 |
75,449 |
$6.38M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
23,683 |
19,652 |
$4.94M |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
52,596 |
36,449 |
$4.41M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
25,229 |
19,641 |
$4.30M |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
6,300 |
4,958 |
$871K |
| A0998 |
Ambulance response and treatment, no transport |
4,510 |
3,451 |
$293K |
| A0130 |
Non-emergency transportation: wheelchair van |
8,588 |
3,381 |
$146K |
| A0434 |
Specialty care transport (sct) |
1,019 |
890 |
$139K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
9,406 |
6,738 |
$84K |
| 93000 |
|
10,137 |
8,334 |
$15K |
| 94760 |
|
21,287 |
16,570 |
$5K |
| A0999 |
Unlisted ambulance service |
456 |
318 |
$450.00 |
| 93041 |
|
35 |
25 |
$69.60 |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
30 |
28 |
$0.00 |